Over-the-counter drug · OTC MONOGRAPH DRUG
Anticavity Rinse (Sodium fluoride) NDC 72476-204
Sodium fluoride .2 mg/mL · Mouthwash · Oral · Retail Business Services, LLC
NDC codes
FDA NDC DirectoryProduct NDC (as listed)72476-204Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72476-0204Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 72476-204-44 | 72476020444 | 532 mL in 1 BOTTLE, PLASTIC (72476-204-44)Marketed from Mar 10, 2010 |
How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules
Product information
- Brand name (proprietary)
- Anticavity Rinse
- Generic name (nonproprietary)
- sodium fluoride
- Active ingredients
- Sodium fluoride — .2 mg/mL
- Dosage form
- Mouthwash
- Route
- Oral
- Labeler
- Retail Business Services, LLCNDC labeler code 72476
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 021
- Marketing start
- Listing expires
- Identifiers
- Product ID 72476-204_4a2a74ea-7002-a5dc-e063-6294a90ab5e3SPL ID 4a2a74ea-7002-a5dc-e063-6294a90ab5e3SPL set ID 77c066cf-f064-45d3-9732-4433165ba9efRxCUI 240698UNII 8ZYQ1474W7UPC 4831028886439
Billing references
What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.
- HCPCS codeNo match
No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N472476020444followed by a unit qualifier and the quantityPackage 72476-0204-44. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier
Product label
Current FDA label (SPL), effective .
Indications (excerpt from the label)
Use aids in the prevention of dental cavities
Excerpt only. Read the full label for complete information.
About NDC 72476-204
- What is NDC 72476-204?
- 72476-204 is the product NDC for Anticavity Rinse (sodium fluoride), Sodium fluoride .2 mg/mL mouthwash, listed with the FDA by Retail Business Services, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Anticavity Rinse (Sodium Fluoride).
- What is the active ingredient?
- Sodium fluoride.
- Who is the labeler?
- Retail Business Services, LLC, NDC labeler code 72476. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Anticavity Rinse?
- 9 other product NDCs are listed under this name. See all Anticavity Rinse NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Anticavity Rinse products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Anticavity Rinsesodium fluoride | Sodium fluoride .5 mg/mL | MouthwashOral | Rite Aid Corporation | 11822-4004 | 11822-4004-04 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Valu Merchandisers Company | 63941-904 | 63941-0904-77 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Meijer, Inc. | 79481-0201 | 79481-0201-01 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Amazon.com Services LLC | 72288-004 | 72288-0004-44 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Demoulas Super Markets, Inc | 53942-004 | 53942-0004-44 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Family Dollar Stores, Inc | 55319-004 | 55319-0004-44 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | H E B | 37808-808 | 37808-0808-44 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Walmart Inc. | 49035-004 | 49035-0004-44 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Meijer, Inc. | 41250-004 | 41250-0004-44 |
Other NDCs under M 021
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| 365 Everyday Value Cavity Fighting and Whiteningsodium monoflourophosphate | Sodium monofluorophosphate .13 g/100g | Paste, DentifriceDental | Whole Foods Market, Inc. | 42681-5002 |
| 365 Everyday Value Kids Flouridesodium monofluorophosphate | Sodium monofluorophosphate .13 g/100g | Paste, DentifriceDental | Whole Foods Market, Inc. | 42681-5276 |
| 3ECARE Dual FormulaToothpastefor sensitiveteethpotassium nitrate sodium monofluorophosphate | Potassium nitrate 5 g/100g; Sodium monofluorophosphate 5 g/100g | Paste, DentifriceDental | Hangzhou Namei Zhikang Technology Co., Ltd. | 87514-004 |
| 3ECARE Dual FormulaWhiteningToothpastesodium fluoride | Sodium fluoride .155 g/100g | Paste, DentifriceDental | Hangzhou Namei Zhikang Technology Co., Ltd. | 87514-003 |
| A and H Plus Therabreath Breath Freshnerssodium fluoride | Sodium fluoride .243 g/100g | Paste, DentifriceOral | Church & Dwight Co., Inc. | 10237-676 |
| ACT Anticavity Fluoride Arctic Blastsodium fluoride | Sodium fluoride .2 mg/mL | MouthwashTopical | Chattem, Inc. | 41167-0937 |
| ACT Anticavity Fluoride Cinnamonsodium fluoride | Sodium fluoride .2 mg/mL | RinseTopical | Chattem, Inc. | 41167-0940 |
| ACT Anticavity Fluoride Kids Bubblegumsodium fluoride | Sodium fluoride .2 mg/mL | RinseTopical | Chattem, Inc. | 41167-0944 |
| ACT Anticavity Fluoride Kids Groovy Grapesodium fluoride | Sodium fluoride .2 mg/mL | RinseTopical | Chattem, Inc. | 41167-0945 |
| ACT Anticavity Fluoride Kids Wild Watermelonsodium fluoride 0.24 (0.14 w/v fluoride ion) | Sodium fluoride 1.4 mg/g | PasteTopical | Chattem, Inc. | 41167-0924 |
| ACT Anticavity Fluoride Mintsodium fluoride | Sodium fluoride .2 mg/mL | RinseTopical | Chattem, Inc. | 41167-0942 |
| ACT Kids Anticavity Fluoride Bubble Gum Blowoutsodium fluoride | Sodium fluoride 1.4 mg/g | PasteTopical | Chattem, Inc. | 41167-0922 |
| ACT Kids Anticavity Fluoride Groovy Grapesodium fluoride | Sodium fluoride 1.4 mg/g | Paste, DentifriceTopical | Chattem, Inc. | 41167-0926 |
| ACT Kids Anticavity Fluoride Pineapple Punchsodium fluoride | Sodium fluoride .2 mg/mL | MouthwashTopical | Chattem, Inc. | 41167-0953 |
| ACT Kids Anticavity Fluoride Wild Watermelonsodium fluoride | Sodium fluoride .5 mg/mL | RinseTopical | Chattem, Inc. | 41167-0938 |
| ACT Kids Berry Blastsodium fluoride | Sodium fluoride .5 mg/mL | RinseOral | Chattem, Inc. | 41167-0976 |
| ACT Kids Pure Protect Anticavity- Simply Strawberrysodium fluoride | Sodium fluoride .5 mg/mL | RinseOral | Chattem, Inc. | 41167-0915 |
| ACT Restoring Anticavity Fluoride Cool Mintsodium fluoride | Sodium fluoride .2 mg/mL | MouthwashTopical | Chattem, Inc. | 41167-0957 |
| ACT Restoring Anticavity Fluoride Cool Mintsodium fluoride | Sodium fluoride .09 mg/mL | MouthwashTopical | Chattem, Inc. | 41167-0981 |
| ACT Restoring Anticavity Fluoride Mint Burstsodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Chattem, Inc. | 41167-0978 |
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